安氏 II 类 2 分类
,
深覆牙合
,
上颌中线偏移
,
中线移位
,
牙列拥挤
,
扭转

弹性牵引:安氏 II 类
,
远中移动
,
Leveling curve of Spee
,
扩弓
,
邻面去釉

治疗信息

  • 年龄: 27
  • 性别:
  • Invisalign治疗选项: Invisalign Full

诊断概要

  • 安氏 II 类 2 分类
  • 深覆牙合
  • 下颌中线偏移
  • 中线移位
  • 牙列拥挤
  • 扭转

用于

  • 远中移动
  • 扩弓
  •  平整 Spee 曲线
  • 邻面去釉
  • 弹性牵引:安氏 II 类
  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 4.3 (LR3), Buccal 4.4 (LR4)
  • Optimized root control attachments (G4) on Buccal 2.4 (UL4)
  • Pressure areas (G5) on Buccal 2.4 (UL4), Buccal 4.2 (LR2), Buccal 4.5 (LR5), Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 4.3 (LR3), Buccal 3.4 (LL4), Lingual 3.1 (LL1), Lingual 3.2 (LL2), Lingual 3.3 (LL3)
  • Precision bite ramp (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
Courtesy of Dr R. Bordin 2019

相片

Click to compare enlarged
upper
初始状态
lower
right
front
left
Click to compare enlarged
upper
治疗后
lower
right
front
left
Click to compare enlarged
upper
进展
lower
right
front
left

X光片

ClinCheck治疗计划

video anterior
video right-left
video upper-lower
Download ADF files
初始状态
附加矫治器

治疗总结

实现的结果

  • 达到安氏 I 类关系
  •  两侧的功能性尖牙引导
  • 实现正常覆盖和覆牙合
  • 中线对齐
  • Curve of Spee leveled
  • 已对齐并协调牙弓
  • 已改善牙弓形状
  • 已获得美观的微笑线 
  • 已实现所有治疗目标
  • 实现牙弓协调

总的治疗时间

  • 15 个月

矫治器数量

  • Maxillary: 31 + 17 = 48
  • Mandibular: 31 + 17 = 48

矫治器配戴时间

  • 10天

评论

  • All third molars were extracted 2 weeks before the first aligner was installed, although the impression were taken with the third molars in place
  • The client started using full time Class II elastics (in hooks cut by me on the aligners) from aligner 2 until the last one, with full Class II correction in this set of aligners
  • Tooth #35 rotated almost completely in the first set of aligners
  • Minor corrections were needed with additional aligners to improve overbite, final correction of mid-line and a better alignment of upper anterior
  • The key to the success of this treatment was the late extraction of the third molars just before the beginning of using the first aligners, and full time use of Class II 1/4" elastics throughout the first set of aligners

保留

  • Maxillary:
  • Mandibular: